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Deficiency Records for Woodlands Healthcare Center
View the most recent health deficiencies and inspection results for Woodlands Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Woodlands Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-19 | 2025-09-30 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-09-19 | 2025-09-30 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-02-12 | 2025-03-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-02-12 | 2025-03-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-02-12 | 2025-03-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-12 | 2025-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-12 | 2025-03-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-02-12 | 2025-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-12 | 2025-03-04 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-02-12 | 2025-03-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-12 | 2025-03-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-02-12 | 2025-03-04 | N |
| Use approved construction type or materials. | Fire Safety | 2025-02-12 | 2025-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-11 | 2024-12-23 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-10-13 | 2023-11-26 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-10-13 | 2023-11-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-13 | 2023-11-01 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-10-13 | 2023-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-13 | 2023-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-13 | 2023-10-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-13 | 2023-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-13 | 2023-10-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-13 | 2023-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-13 | 2023-10-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-17 | 2023-09-18 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-17 | 2022-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-17 | 2022-01-04 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-12-17 | 2022-01-04 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-12-17 | 2022-01-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-17 | 2022-01-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-17 | 2022-01-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-17 | 2022-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-17 | 2022-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-17 | 2022-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-17 | 2022-01-04 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-12-17 | 2022-01-04 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-17 | 2022-01-04 | N |